Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.46 / $4,294.00 / $8,155.00	Facility		$418.46	$4,294.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.72 / $493.01 / $848.22	Professional		$311.72	$493.01	$848.22
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $500.54 / $500.54 / $500.54	Professional		$500.54	$500.54	$500.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.21 / $631.83 / $1,321.90	Professional		$349.21	$631.83	$1,321.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $509.29 / $869.44 / $884.83	Professional		$509.29	$869.44	$884.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,793.84 / $8,541.95	Facility		$3,178.88	$3,793.84	$8,541.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.02 / $562.98 / $1,129.60	Professional		$295.02	$562.98	$1,129.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.44 / $726.17 / $1,619.66	Professional		$470.44	$726.17	$1,619.66